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Major Chest Procedures without Complications

California rates for MS-DRG 165

Major Chest Procedures without CC/MCC

Rates data updated October 2026.

How much does Major Chest Procedures without Complications cost?

$38,905

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $28,840 to $56,234.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $16,218 to $67,608
$200$1K$5K$20K$100Kfacility $38,905

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$47,863.01
Typical High
$91,201.08
Ambetter
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$41,686.94
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$40,738.03
Typical High
$66,069.34
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$35,481.34
Typical High
$66,069.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$45,708.82
Typical High
$81,283.05
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$48,977.88
Typical High
$85,113.80
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$35,481.34
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$33,884.42
Typical High
$74,131.02

Where California sits

The same service costs 190.5 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 12th of 51

$38,905

AK $52,481HI $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.